Wellcare Certification UPDATED
Questions and CORRECT Answers
Brokers/Agents may be investigated after being suspected of noncompliant activity reported
through a: (Select all that apply.) - CORRECT ANSWER✔✔- Complaint Tracking Module
(CTM)
Grievance
Secret Shop Finding
Wellcare does not need to be informed of informal marketing/sales events at which plans or
materials will be presented or distributed. - CORRECT ANSWER✔✔- False
Materials that include plan comparisons or cost sharing do not require Centers for Medicare
& Medicaid Services (CMS) submission. - CORRECT ANSWER✔✔- False
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used. - CORRECT ANSWER✔✔-
False
Beneficiary-facing marketing materials developed by a Third-Party Marketing Organization
(TPMO) for multiple Medicare Advantage (MA) organizations or plans can be reviewed by
just one MA organization, submitted to the Centers for Medicare & Medicaid Services (CMS)
in the Health Plan Management System (HPMS), and opted in by the health plan after
distribution. - CORRECT ANSWER✔✔- False
The Pre-Enrollment Checklist (PECL) should be provided and reviewed with your client after
enrollment to ensure the enrollee understands important plan benefits and rules. - CORRECT
ANSWER✔✔- False
Once the enrollment is completed, you can save a copy of the application for your reference. -
CORRECT ANSWER✔✔- False
Starting in 2025, a member may move through THREE benefit stages during the plan year.
Which benefit stage will no longer exist? - CORRECT ANSWER✔✔- Coverage Gap
Questions and CORRECT Answers
Brokers/Agents may be investigated after being suspected of noncompliant activity reported
through a: (Select all that apply.) - CORRECT ANSWER✔✔- Complaint Tracking Module
(CTM)
Grievance
Secret Shop Finding
Wellcare does not need to be informed of informal marketing/sales events at which plans or
materials will be presented or distributed. - CORRECT ANSWER✔✔- False
Materials that include plan comparisons or cost sharing do not require Centers for Medicare
& Medicaid Services (CMS) submission. - CORRECT ANSWER✔✔- False
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used. - CORRECT ANSWER✔✔-
False
Beneficiary-facing marketing materials developed by a Third-Party Marketing Organization
(TPMO) for multiple Medicare Advantage (MA) organizations or plans can be reviewed by
just one MA organization, submitted to the Centers for Medicare & Medicaid Services (CMS)
in the Health Plan Management System (HPMS), and opted in by the health plan after
distribution. - CORRECT ANSWER✔✔- False
The Pre-Enrollment Checklist (PECL) should be provided and reviewed with your client after
enrollment to ensure the enrollee understands important plan benefits and rules. - CORRECT
ANSWER✔✔- False
Once the enrollment is completed, you can save a copy of the application for your reference. -
CORRECT ANSWER✔✔- False
Starting in 2025, a member may move through THREE benefit stages during the plan year.
Which benefit stage will no longer exist? - CORRECT ANSWER✔✔- Coverage Gap
